# EARTHQUAKES SOCCER LLC HEALTH AND WELFARE PLAN

Health and welfare plan sponsored by **EARTHQUAKES SOCCER LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | EARTHQUAKES SOCCER LLC |
| EIN | 205291970 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | SAN JOSE, CA |
| Industry | sports |
| Funding | fully insured |
| Total premiums | $690K |
| Participants | 124 |
| Persons covered | 186 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Rx |
| KAISER PERMANENTE | Health, HMO |
| PRINCIPAL FINANCIAL GROUP | Dental, Life, STD, LTD, PPO |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| LEAVITT GROUP | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| WARNER PACIFIC INSURANCE SERVICES | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| LEAVITT GROUP | KAISER FOUNDATION HEALTH PLAN INC. |
| LEAVITT GROUP | PRINCIPAL LIFE INSURANCE COMPANY |
| WARNER PACIFIC INSURANCE SERVICES | PRINCIPAL LIFE INSURANCE COMPANY |
| LEAVETT GROUP AGENCY ASSOCIATION | PRINCIPAL LIFE INSURANCE COMPANY |
| LEAVITT GROUP | VISION SERVICE PLAN |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/205291970-501
- Cite as: PlanOptica, https://planoptica.com/welfare/205291970-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers